Director, Government Contracts (Medicaid / Florida Health Plan) - REMOTE
Molina Healthcare, Town of Florida, NY, United States
Job Description
Leads and directs a team responsible for government contracts activities. Responsible for development and administration of contracts with state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low‑income, uninsured, and other populations in designated Molina markets.
Essential Job Duties
- Lead and direct a team responsible for the management of regulatory and contractual requirements related to government programs including, but not limited to, Medicaid, Medicare, Duals Medicaid‑Medicare Program (MMP) and Marketplace, reviewing and implementing new program requirements and ensuring compliance with all health plan contractual and regulatory reporting requirements.
- Serve as the lead for health‑care program contractual and regulatory requirements, performing initial assessment and overseeing implementation of all proposed and new contractual and regulatory standards to ensure the plan meets all filing requirements and ad‑hoc reporting requests in a timely manner with quality deliverables.
- Hire, onboard, train, develop, mentor, and performance‑manage a reporting team of government contracts professionals, demonstrating accountability for team goals and deliverables.
- Manage contract renewal activities.
- Lead project teams involving staff across the plan to implement new standards for which the government contracts department is accountable or otherwise involved.
- Chair committees and lead workgroups to carry out assigned responsibilities.
- Assess proposed state laws and regulations to determine potential impact and provide written reports of findings to requesting plan and/or corporate staff.
- Develop department staff to serve as product‑line subject‑matter experts in research standards and program requirements.
- Serve as a key liaison with state health‑care agencies and regulators.
- Coordinate plan responses/reports to state health‑care agencies, regulators, and partners regarding contractual and regulatory issues.
- Identify potential new business and bid opportunities.
Required Qualifications
- At least 8 years of experience in Medicaid, Medicare, and/or Marketplace health insurance/government programs, and 5 years of experience in government health programs, or an equivalent combination of relevant education and experience.
- At least 3 years of management/leadership experience.
- Strong knowledge of Medicaid, Medicare, Marketplace, and/or other government‑sponsored programs and program compliance.
- Ability to work cross‑functionally in a highly matrixed environment.
- Strong interpersonal skills.
- Strong organizational and time‑management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
- Analytical reasoning ability and detail orientation.
- Proficiency in compiling data, creating reports, and presenting information.
- Excellent verbal and written communication skills, including ability to communicate and present to internal and external stakeholders.
- Proficiency with Microsoft Office suite and applicable software programs.
Preferred Qualifications
- Legal/compliance‑related experience.
- Strong Medicaid‑specific experience.
- Experience with state/federal government relations and relationship building with key governmental representatives.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $107,028 - $208,705.4 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.